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Location
In office (Hyderabad)
Seniority
Middle · 4+ years exp

Confirmed on the employer's own hiring board on Oct 21, 2026. First seen by Alion on Sep 3, 2026. Cohere Health scores A on the Alion truth index.

Overview
Company
Impact
Profile match
Cohere Health is a Boston company founded in 2019 that automates prior authorisation and utilisation management for health insurers. Its models read clinical documentation, apply payer policy and approve routine requests instantly while routing genuinely complex cases to reviewers. The platform is used by national and regional plans to cut turnaround times that have long frustrated physicians and patients.

Opportunity Overview:

This is a unique opportunity to join a software engineering team that is growing quickly. You will build impactful healthcare technology on a modern stack utilizing your full stack software engineering background. 

Last but not least: People who succeed here are empathetic teammates who are candid, kind, caring, and embody our core values and principles. We believe that diverse, inclusive teams make the most impactful work. Cohere is deeply invested in ensuring that we have a supportive, growth-oriented environment that works for everyone. 

What you’ll do:

  • Lead technical design and architecture for complex features across our business intelligence platform
  • Take full ownership of end-to-end feature releases, platform enhancements, and system optimization initiatives
  • Drive technical decision-making by conducting thorough analysis, evaluating trade-offs, and making data-driven architectural choices
  • Architect and implement highly scalable cloud-based data services, APIs, ETL pipelines, and user interfaces
  • Build mission-critical backend systems supporting analytics, reporting, and complex data query capabilities at scale
  • Design and develop intuitive UI platforms and interactive dashboards for data visualization and business intelligence
  • Champion engineering excellence by establishing and enforcing best practices, design patterns, and coding standards
  • Optimize system performance, identify bottlenecks, and implement solutions for scalability and reliability
  • Define and maintain comprehensive test strategies, ensuring high code quality and test coverage
  • Actively participate in ensuring Cohere maintains a disciplined approach to healthcare security, compliance, and data governance
  • Mentor and coach junior and mid-level engineers, fostering their technical growth and career development
  • Collaborate cross-functionally with product, data science, analytics, and business stakeholders to deliver robust technical solutions

 ISMS roles and responsibilities:

  • Fair understanding of Information Security practices.
  • Align to the organization policies and procedures.
  • Ensure to get updated with ISMS roles as assigned by the department/process heads.

What you’ll need:

  • You have extensive experience building and deploying production-grade backend systems, RESTful APIs, and modern web applications at scale
  • You are passionate about technical excellence and architectural best practices, with a track record of building high-quality, maintainable systems
  • You can lead technical initiatives from conception through delivery, making sound architectural decisions along the way
  • You excel at breaking down complex problems into manageable solutions and can articulate technical concepts to both technical and non-technical stakeholders
  • You have a strong ownership mentality and take pride in the quality and impact of your work
  • You can mentor and elevate other engineers through code reviews, pairing sessions, and knowledge sharing
  • You have experience with system design, performance optimization, and building for scale
  • You understand data modeling, query optimization, and best practices for working with large datasets
  • You are a collaborative leader who thrives in a fast-paced startup environment and can balance velocity with quality

Must-haves

  • Minimum of 4 years of experience in software development lifecycle
  • Strong expertise in backend development using Python with frameworks like FastAPI, Flask, or Django
  • Deep understanding of object-oriented programming, design patterns, and software architecture principles
  • Proven experience building UI platforms using React and TypeScript/JavaScript, with strong understanding of modern frontend patterns and state management
  • Extensive hands-on experience with cloud platforms (AWS) including services like Athena, S3, DynamoDB, Lambda, API Gateway, CloudWatch, or equivalent
  • Demonstrated experience building data pipelines, ETL processes, or analytics platforms
  • Strong proficiency with test frameworks such as pytest, Jest, Cypress, JUnit, or similar
  • Experience with NoSQL technologies (DynamoDB, MongoDB, etc.) and understanding of when to use them
  • Advanced knowledge of SQL and query optimization for large datasets and complex analytical queries
  • Prior experience with Tableau APIs and BI tool integrations
  • Experience with CI/CD pipelines, infrastructure as code, and DevOps practices
  • Bachelor's degree in computer science, software engineering, or equivalent experience

Nice-to-haves

  • Experience building applications using React and TypeScript
  • Hands on experience leveraging test frameworks such as Cypress, Jest, Mocha, JUnit, or Cucumber
  • Experience with microservices architecture and distributed systems is a plus
  • Prior experience in healthcare and life sciences is a plus, but not required
  • Track record of technical leadership, mentoring, and driving engineering culture improvements

Ability to commute/relocate:

  • Hyderabad, Telangana: Reliably commute or planning to relocate before starting work (Preferred)

Interview Process:

  • Connect with Talent Acquisition 
  • Meet with the Hiring Manager
  • Behavioral Interview(s)
  • Case Study
  • Interview with Senior Leadership

*Subject to change

About Cohere Health:

Cohere Health’s clinical intelligence platform and agentic AI-powered solutions connect health plans’ strategic goals and providers’ needs, optimizing the speed, cost, and quality of care. With an enterprise approach that streamlines payer-provider decision-making across the care continuum-including policy, prior authorization, payment accuracy, and more-the company improves collaboration and reduces burden, resulting in up to 8x ROI and 94% provider satisfaction. 

With the acquisition of ZignaAI, we expanded our AI-native platform with a comprehensive Payment Integrity Suite that spans data mining, clinical and coding validation, authorization and claims reconciliation, and end-to-end payment integrity services across pre- and post-pay workflows. By connecting clinical and payment insights, our transparent, AI-powered solutions help health plans proactively improve payment accuracy, reduce waste and vendor dependency, strengthen provider relationships, and build smarter, more efficient payment integrity programs.

Cohere Health’s innovations continue to receive industry-wide recognition. We’ve been recognized on TIME’s World Top HealthTech Companies 2025 list, the 2025 Inc. 5000 list, in the Gartner® Hype Cycle™ for U.S. Healthcare Payers (2022-2025), and ranked as a Top 5 LinkedIn™ Startup for 2023 & 2024.

We can’t wait to learn more about you and meet you at Cohere Health!

Equal Opportunity Statement: 

Cohere Health is an Equal Opportunity Employer. We are committed to fostering an environment of mutual respect where equal employment opportunities are available to all.  To us, it’s personal.

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